An orthopedic injury can be defined as an injury that occurs to the musculoskeletal system (bones, muscles, ligaments, cartilage, and/or tendons). We live in a time where staying active is an important part of maintaining current function, weight control, and alleviating the stresses of daily life. Many injuries that occur during our daily activities are negated as we push through the day. Luckily the body is amazingly adaptable and will make immediate compensations to poor movement patterns. If you ask the body to do something, it will find a way to comply. Even if it means it has to "cheat" to accomplish it. This is how a poor movement pattern is created, or what we at Body Awareness call "strong wrong". At some point the body will not be able to compensate for the poor movement pattern any longer and injury will occur often accompanied by pain.
As Physical Therapists, we are trained to analyze the mechanics of the body and how each region may be helping or hindering the other. We are movement specialists. We consider structural limitations such as herniated discs, arthritic joints, surgically repaired muscles and tendons, and then determine how to allow the optimum movement with optimum strength of the body.
Listed below are a few of the treatments utilized in the orthopedic rehabilitation:
- Neuromuscular Re-education
- Joint and Nerve Mobilization
- Myofascial and Trigger Point Release
- Postural Re-education
- Custom Orthotic Fitting
- Functional Progression to Work and Sport Activities
- Neuromuscular Re-education - Neuromuscular re-education is an essential part of the rehabilitation process. This education allows us to train you in proper alignment of the upper extremities in relationship to the trunk during exercise, home or work activities. Completion of this process includes strengthening musculature that stabilize the upper and lower extremities, as well as lengthening shortened muscle groups through stretching, followed by training in the new lengthened range. Some training techniques utilized are:
- Biofeedback Training with specific muscle re-education
- Core and Dynamic Stabilization Programs
- Proprioceptive Neuromuscular
- Joint Specific Taping Techniques
- Sport / ADL Specific Training
- Joint and Nerve Mobilization - Mobilization of tight structures is crucial to ensure proper spine and soft tissue movement. Stiff or rigid joints in one region of the body will cause another region to develop excessive mobility. This compensation will manifest as a movement dysfunction and predispose the area to pain and injury. When movement dysfunctions are not treated they often develop into chronic pain.
- Myofascial and Trigger Point Release - Myofascial restriction and trigger points are soft tissue adhesions that develop as a result of muscular overuse or chronic shortening from sustained postures or repetitive activity. Release of these tissues is essential in alleviation of painful referral patterns as well as restoring normal tissue mobility.
- Postural Re-education - Postural alignment is important to address in order to restore the optimum positioning of the body, which in turn promotes a balance in weight distribution on the regions involved. This allows the body to function at its highest potential during activities of daily living without adding unnecessary strain.
- Custom Orthotic Fitting - Custom orthotics can be an excellent adjunct to physical therapy to address primary or secondary problems. When the foot hits the ground the forces of gravity and one's body weight are translated up the leg to the trunk. If shock absorption is lost at the foot, the stress will continue up the chain and often result in low back pain and dysfunction along the chain.
- Functional Progression to Work and Sport Activities - Personalized Programs are developed to address your individual needs and goals to obtain maximum benefit in physical therapy.